2025-08-15T13:42:53-05:00 2024-09-30 550538163 SUTTLE & STALNAKER PLLC 501 5TH AVENUE SUITE 1 HUNTINGTON WV 25701 990 2023-10-01 550357050 ST MARY'S MEDICAL CENTER INC STMA 3045268931 2900 FIRST AVENUE HUNTINGTON WV 257021271 ANGELA SWEARINGEN COO 3045268931 2025-08-15 1 0 WADE NEWELL CPA P01051041 3045250301 2025-08-15 2023 2025-03-06 01:10:19Z ANGELA SWEARINGEN 2900 FIRST AVENUE HUNTINGTON WV 257021271 717207137 0 X WWW.ST-MARYS.ORG X 1924 WV TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED 10 9 4522 107 0 0 615044 16077414 624865495 679480167 3634913 1540431 30599297 18479353 659714749 715577365 978026 1091042 0 0 336600150 341874094 0 0 0 358157645 389788442 695735821 732753578 -36021072 -17176213 437317799 488603034 335720859 406032554 101596940 82570480 X WE ARE INSPIRED BY THE LOVE OF CHRIST TO PROVIDE QUALITY HEALTH CARE IN WAYS WHICH RESPECT THE GOD-GIVEN DIGNITY OF EACH PERSON AND THE SACREDNESS OF HUMAN LIFE. 0 0 557882120 114589 695694802 ST. MARY'S MEDICAL CENTER WAS ESTABLISHED IN 1924 AND, BASED ON THE CORE VALUES OF COMPASSION, HOSPITALITY, REVERENCE, TRUST, INTERDEPENDENCE, AND STEWARDSHIP, CONTINUES TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO RESIDENTS OF HUNTINGTON, WEST VIRGINIA AND THE SURROUNDING AREA. SERVICES ARE PROVIDED WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR HANDICAP. FURTHERMORE, WHILE REIMBURSEMENT FOR CARE PROVIDED IS CRUCIAL TO THE CONTINUED OPERATION OF ST. MARY'S MEDICAL CENTER, IT IS RECOGNIZED THAT CIRCUMSTANCES EXIST WHICH RENDER CERTAIN PARTIES UNABLE TO PAY FOR NEEDED SERVICES, AND NO PATIENT IS DENIED SERVICES DUE TO THE LACK OF ABILITY TO PAY. DURING THE FISCAL YEAR WHICH ENDED SEPTEMBER 30, 2024, ST. MARY'S MEDICAL CENTER PROVIDED 98,555 DAYS OF INPATIENT DAYS OF CARE AND TREATED AN ADDITIONAL 394,521 PATIENTS IN THE EMERGENCY AND OUTPATIENT SETTINGS. APPROXIMATELY 80% OF THE INPATIENTS SERVED WERE COVERED BY GOVERNMENTAL PROGRAMS, SUCH AS MEDICARE AND MEDICAID. A SIMILAR PERCENTAGE IS APPLICABLE TO OUTPATIENT SERVICES. SINCE CARE PROVIDED TO MEDICARE AND MEDICAID BENEFICIARIES IS SUBJECT TO CONTRACTUAL REIMBURSEMENT RESTRICTIONS, PAYMENT RECEIVED FOR SERVICES PROVIDED IS OFTEN SIGNIFICANTLY BELOW THE ACTUAL COST OF THE SERVICES. ST. MARY'S MEDICAL CENTER HAS ESTABLISHED CHARITY CARE POLICIES AND GUIDELINES, USED TO HELP IDENTIFY THOSE PATIENTS WHO GENUINELY DO NOT HAVE THE RESOURCES TO PAY FOR SERVICES RECEIVED. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024, THE HOSPITAL PROVIDED APPROXIMATELY $2.0 MILLION DOLLARS IN CHARITY CARE SERVICES, REPRESENTING CARE PROVIDED AT REDUCED PRICES OR COMPLETELY FREE OF CHARGE. THESE SERVICES INCLUDE INPATIENT SERVICES, AN ADULT OUTPATIENT CLINIC, A HANDICAPPED CHILDREN'S CLINIC, AND A SPECIALTY PREGNANCY CLINIC. ALSO, ST. MARY'S MEDICAL CENTER EXCEEDS THE GUIDELINES ESTABLISHED FOR THE WEST VIRGINIA AD VALOREM STATUTE. 2408398 976453 2082551 IN ADDITION TO THOSE PATIENTS WITHOUT THE WHEREWITHAL TO PAY FOR SERVICES RENDERED, WE ASSIST IN THE RELIEF OF BURDEN OF GOVERNMENT FOR SEVERAL PROGRAMS. A STRONG AUXILIARY (OPERATED AS A DEPARTMENT OF THE HOSPITAL) EXISTS, WHICH CONTRIBUTES HEAVILY TO THE ACTIVITIES OF SMMC. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024, THE AUXILIARY CONTRIBUTED APPROXIMATELY $450,000 TO ST. MARY'S. IN ADDITION, VOLUNTEERS PROVIDED OVER 16,000 HOURS OF SERVICE VALUABLE TO PROMOTING THE MISSION AND ACTIVITIES OF THE HOSPITAL. ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES DURING FY 2024 THAT PROMOTED WELLNESS AND HELPED ENRICH THE LIVES OF PEOPLE IN THE TRI-STATE.COMMUNITY FLU SHOT CLINICSSMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED FREE DRIVE-THRU FLU SHOT CLINICS SATURDAY, OCT. 12, 2024, IN HUNTINGTON AND IN HURRICANE. A TOTAL OF 254 TOTAL VACCINES WERE GIVEN AT BOTH LOCATIONS.FREE WOMEN'S HEALTH SCREENINGSST. MARY'S BREAST CENTER OFFERED TWO FREE WOMEN'S HEALTH SCREENINGS TO THE COMMUNITY: A FREE BREAST SCREENING AND CERVICAL CANCER SCREENING ON 4.20.24, 42 PARTICIPATED. SKIN SCREENING ON 5.17.24, 38 PARTICIPATED AND A BREAST CANCER SCREENING ON 10.25.23, 10 PARTICIPATED. COMMUNITY WELLNESS BLOOD PROFILESSMMC, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND HIMG, PROVIDED LOW-COST WELLNESS BLOOD PROFILES TO THE COMMUNITY DURING THE MONTHS OF OCTOBER, NOVEMBER, FEBRUARY, APRIL, JUNE, AUGUST 2023-2024. BLOOD PROFILES INCLUDED 29 DIFFERENT TESTS, SUCH AS GLUCOSE, CHOLESTEROL AND CALCIUM, WITH OPTIONAL TESTING AVAILABLE AT AN ADDITIONAL COST FOR HEMOGLOBIN A1C, THYROID-STIMULATING HORMONE (TSH), VITAMIN D AND PROSTATE-SPECIFIC ANTIGEN (PSA). THE PROFILES WERE AVAILABLE BY APPOINTMENT AT THE SMMC CONFERENCE CENTER, HIMG AND THE SMMC IRONTON CAMPUS. SMMC'S FACILITIES PROVIDED 2,554 PROFILES. SUPPORT GROUPSSMMC OFFERS FREE SUPPORT GROUPS AND NUTRITION COUNSELING TO THE COMMUNITY:" BREAST CANCER, 11 SUPPORT GROUPS HELD, 127 PARTICIPANTS." NUTRITION COUNSELING, 14 EVENTS, 1,400 PARTICIPANTSSMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. EIGHTEEN SUPPORT GROUPS WERE HELD, 417 PARTICIPANTS. AMERICAN RED CROSS BLOOD DRIVESTO ASSIST WITH THE BLOOD SHORTAGE, SMMC HOSTED TWO COMMUNITY BLOOD DRIVES WITH 175 PARTICIPANTS BETWEEN THE MEDICAL CENTER AND THE CENTER FOR EDUCATION. AMERICAN HEART ASSOCIATION EVENTSHUNTINGTON HEART WALK: SMMC REGIONAL HEART INSTITUTE PARTNERED WITH THE AMERICAN HEART ASSOCIATION, THE LARGEST VOLUNTARY HEALTH ORGANIZATION WORKING TO PREVENT, TREAT AND DEFEAT HEART DISEASE, STROKE AND OTHER CARDIOVASCULAR DISEASES, FOR THE 2024 HUNTINGTON HEART WALK, APRIL 20, 2024. THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION AND HAD APPROXIMATELY 200 PARTICIPANTS. SMMC STAFF MEMBERS PROVIDED FREE BLOOD PRESSURE SCREENINGS TO WALKERS.GO RED MINI HEALTH FAIR: AS PART OF NATIONAL WEAR RED DAY, THIS FREE EVENT OFFERED FREE BLOOD PRESSURE, BLOOD SUGAR AND CHOLESTEROL SCREENINGS, AS WELL AS INFORMATION ON SLEEP DISORDERS, SMOKING CESSATION, STROKE RISK AND NUTRITION TO 175 ATTENDEES. HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN IS A COMMUNITY FOOD CENTER WHERE PEOPLE COME TO LEARN, COOK AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. SMMC PARTNERED WITH HUNTINGTON'S KITCHEN THROUGHOUT THE YEAR TO PROVIDE SPEAKERS FOR TWO FREE MONTHLY COMMUNITY EVENTS: DINING WITH A DOC, WHICH OFFERS AN EVENING OF HEALTH INFORMATION AND COOKING WITH A PHYSICIAN, AND SENIOR FOCUS FRIDAY, A PROGRAM FOR PEOPLE 50 AND OLDER. TOPICS INCLUDED: MENTAL HEALTH, DIABETES MANAGEMENT, THE IMPORTANCE OF A PRIMARY CARE PROVIDER AND HEART CARE. A TOTAL OF 12 GROUPS WERE HELD WITH 112 PARTICIPANTS. FACING HUNGER FOODBANKSMMC PARTNERED WITH FACING HUNGER FOODBANK TO DISTRIBUTE MEDICALLY INDICATED FOOD BOXES TO OVER 1,300 CLINIC PATIENTS THROUGHOUT THE YEAR. PROACT (PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT)PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE SMMC, CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. SMMC PROVIDES A FULL-TIME CHAPLAIN. 2,459 PATIENTS SUPPORTED BY A SMMC FULL-TIME CHAPLAIN. 6,914 CLIENTS ASSISTED BY PROACT.COMPASS PROGRAMTHE COMPASS PROGRAM PROVIDES TRAINING, CLASSES AND A WELLNESS CENTER TO HELP FIRST RESPONDERS IN HUNTINGTON IMPROVE THEIR MENTAL HEALTH. SMMC PROVIDES SPIRITUAL CARE AND EMPLOYMENT ASSISTANCE PROGRAM (EAP) SERVICES AS PART OF THE PROGRAM. JOSLIN DIABETES CENTERTHE JOSLIN DIABETES CENTER EDUCATION AFFILIATE AT SMMC OFFERS NUTRITION EDUCATION AND COUNSELING, IN PARTNERSHIP WITH THE RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MASSACHUSETTS. JOSLIN WORKED WITH 769 PEOPLE IN 2024.SMOKING CESSATION COUNSELINGSMMC PULMONARY REHABILITATION OFFERS ONE-ON-ONE SMOKING CESSATION COUNSELING BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. 1,344 PEOPLE RECEIVED COUNSELING IN 2024.CANCER SURVIVOR RECEPTIONSFREE EVENTS HELD AT ST. MARY'S CENTER FOR EDUCATION FOR CANCER SURVIVORS AND THEIR FAMILY MEMBERS WITH 55 PARTICIPANTS. COMMUNITY GIVINGWE SUPPORT PROJECTS THAT PROMOTE HEALTHY LIVING, NUTRITION, PHYSICAL ACTIVITY, WELLNESS, AND THE PREVENTION AND MANAGEMENT OF DISEASE. FUNDED INITIATIVES MUST ALIGN WITH PRIORITIES IDENTIFIED IN THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).VOLUNTEER SERVICE ON COMMUNITY BOARDSSMMC MANAGERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON MANY NON-PROFIT BOARDS INCLUDING HUNTINGTON REGIONAL CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, BIG BROTHERS/BIG SISTERS, FACING HUNGER FOODBANK, GOODWILL, HOSPICE OF HUNTINGTON AND THE KEITH-ALBEE PERFORMING ARTS CENTER TO NAME A FEW. 560290518 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 159 0 4522 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X ANGELA COBURN CPA 3045261580 2900 FIRST AVENUE HUNTINGTON WV 25702 SISTER MARY GRACE BARILE SECRETARY/DIRECTOR 1.00 X 129055 0 15940 JEFF LEABERRY MD CHAIR/DIRECTOR 2.00 X X 0 0 0 VICKIE SMITH DIRECTOR 1.00 X 0 0 0 DEV RELLAN MD DIRECTOR 1.00 X 0 64404 3849 MARIE REDD DIRECTOR 1.00 X 0 0 0 TODD CAMPBELL TREASURER/DIRECTOR 2.00 X X 0 0 0 SISTER DANUTA PRZYBYLEK DIRECTOR 1.00 X 6694 0 276 AUDY PERRY VICE CHAIR/DIRECTOR 2.00 X X 0 0 0 MICHAEL MISITI DIRECTOR 1.00 X 0 0 0 GEOFF SHEILS SECRETARY/DIRECTOR 2.00 X X 0 0 0 ANGELA D SWEARINGEN VICE PRESIDENT/COO 45.00 X 562664 0 77063 DAVID M WARD SENIOR VP & CFO 0.00 45.00 X 0 928179 34973 KEVIN YINGLING PRESIDENT & CEO 0.00 45.00 X 0 865245 168499 HOYT J BURDICK VP CMO 0.00 45.00 X 0 508206 43433 PAUL E SMITH CHIEF ADMIN OFFICER 0.00 45.00 X 0 433194 45194 BRADLEY BURCK VP CORP FND & DNR PHIL 0.00 45.00 X 0 263077 46408 VERA ROSE MD VICE PRESIDENT/RETIRED 45.00 X 198398 0 13262 SUSAN BETH ROBINSON VICE PRESIDENT 0.00 45.00 X 0 356742 55127 MARK MORGAN VICE PRESIDENT 0.00 45.00 X 0 358442 55127 REGINA CAMPBELL VICE PRESIDENT 0.00 45.00 X 0 341453 68176 DAVID SHEILS VICE PRESIDENT 45.00 X 235670 0 31913 AARON BLEVINS VICE PRESIDENT 0.00 45.00 X 0 259489 60316 ROBERT KACZMARCZYK VICE PRESIDENT 45.00 X 261390 0 45461 ANDY MULLINS VICE PRESIDENT 45.00 X 257546 0 44341 LARRY HUTCHISON VICE PRESIDENT 45.00 X 294089 0 46514 LARRY D DIAL CHIEF CLINICAL OFFICER CT 0.00 45.00 X 0 544214 19800 LISA C STUMP SYSTEM VP & CSO 0.00 45.00 X 0 488887 39199 MELISSA E LEASURE SYSTEM VP & GEN COUNSEL 0.00 45.00 X 0 351722 55127 EDUARDO PINO CMIO 0.00 45.00 X 0 312399 37959 FAREED AZIZ VP OF REVENUE CYCLE MGMT 0.00 45.00 X 0 260477 52745 JOHN K FIFE VP SUPPLY CHAIN OPERATIONS 0.00 45.00 X 0 181458 43961 THOMAS A HEFNER VP FINANCE 0.00 45.00 X 0 175196 33026 MATTHEW WERTHAMMER MD PHYSICIAN 45.00 X 1687526 0 51107 DWIGHT SAULLE MD PHYSICIAN 45.00 X 2113905 0 51049 NEPAL CHOWDHURY MD PHYSICIAN 45.00 X 2396885 0 51671 DAMIAN SILBERMINS MD PHYSICIAN 45.00 X 1425601 0 49534 LUIS BOLANO MD PHYSICIAN 45.00 X 1688540 0 37861 11257963 6692784 1378911 525 0 1 0 QUALIVIS PO BOX 123847 DEPT 3847 DALLAS TX 75312 MEDICAL 20571789 RIVER CITIES ANESTHESIA PO BOX 515 BARBOURSVILLE WV 25504 MEDICAL 7461608 UNIVERSITY PHYSICIANS AND SURGEONS 1600 MEDICAL CENTER DRIVE SUITE B5 HUNTINGTON WV 25701 MEDICAL 7202797 CERNER HEALTH SERVICES INC PO BOX 959168 ST LOUIS MO 63195 COMPUTER 2928533 AMERGIS HEALTHCARE STAFFING 7227 LEE DEFOREST DR COLUMBIA MD 21046 MEDICAL 2775048 61 16051842 25572 158575 16077414 PATIENT SERVICE REVENUE 621990 648204889 648204889 PHARMACY REVENUE 456110 25001762 25001762 PURCHASE REBATES 900099 3116750 3116750 SCHOOL OF NURSING 611600 2764924 2764924 OTHER PROGRAM SERVICE REVENUE 900099 391842 391842 679480167 1271896 1271896 1328313 258906 1069407 1069407 1069407 268535 0 268535 268535 268535 461410 279243 182167 182167 1863865 1091623 772242 772242 ALL OTHER REVENUE 900099 11075538 11075538 CAFETERIA SALES 722100 3411302 3411302 OTHER AFFILIATED ENTITIES 900099 1968697 1968697 16455537 715577365 697777353 0 1722598 X 1091042 1091042 2435078 1655853 779225 273374448 185894625 87479823 4475397 3043270 1432127 43854342 29820953 14033389 17734829 12059684 5675145 22378433 22378433 1949649 1949649 501408 501408 73353900 60443614 12910286 223568 152026 71542 4734994 3219796 1515198 3084490 2097453 987037 29627248 20146529 9480719 284927 193750 91177 3120659 2122048 998611 20579638 13994154 6585484 4432873 3014354 1418519 MEDICAL SUPPLIES 166865803 166865803 BAD DEBTS 28093784 28093784 PROVIDER TAX 17509292 17509292 13047776 8872488 4175288 732753578 560290518 172463060 0 302099 266631 15825800 23590945 92097930 102222454 15676284 16908452 2823954 4078201 325889786 99724612 206593324 226165174 19197730 8676046 10254030 2705592 2705592 73419040 102411555 437317799 488603034 148660027 188820115 -542184 -711471 187603016 217923910 335720859 406032554 X 101123189 82570480 473751 0 101596940 82570480 437317799 488603034 X -17176213 836485 -2686732 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 59099 59099 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA), THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES (CHA), AND THE AMERICAN HOSPITAL ASSOCIATION (AHA), WHICH ENGAGE IN LOBBYING ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO WVHA, CHA, AND AHA HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES WHICH TOTALED $59,099. SPECIFIC INFORMATION REGARDING THE ADVOCACY AGENDAS OF THE ASSOCIATIONS CAN BE VIEWED ON THEIR WEBSITES, WVHA.ORG, CHAUSA.ORG, AND AHA.ORG. 9826586 9826586 166506102 40934861 125571241 115994416 58085637 57908779 33562682 704114 32858568 226165174 RIGHT-OF-USE ASSETS 35798599 OTHER RECEIVABLE 29320126 ESTIMATED THIRD-PARTY SETTLEMENTS 9798029 OTHER ASSETS 27494801 102411555 ACCRUED PENSION COSTS 38467976 DEFERRED SALARIES AND WAGES 3768359 GENERAL RESERVES 32770001 DUE TO AFFILIATE HOSPITAL 100074609 LEASE OBLIGATIONS 42842965 217923910 X PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2024 AND 2023. FUNDRAISING 461410 461410 279243 461410 461410 279243 279243 182167 1 1 X 1 X 1 X 1 1 0 0 7216 546604 546604 0.00070 23184 102856543 82587831 20268712 0.02770 30400 103403147 82587831 20815316 0.02840 4 14352545 4656131 9696414 0.01320 2 328 178103 178103 0.00020 6 328 14530648 4656131 9874517 0.01340 6 30728 117933795 87243962 30689833 0.04180 93917 93917 0.00010 93917 93917 0.00010 0 7394593 1478919 87283987 89798966 -2514979 X 1 1 1 THREE GABLES SURGERY OUTPATIENT HEALTH CARE 0.53270 0.46730 1 1 ST MARY'S MEDICAL CENTER INC 2900 FIRST AVENUE HUNTINGTON WV 25702 X X X X X URGENT CARE ST MARY'S MEDICAL CENTER 0 0 1 X X X X X X X X X 23 1 1 0 1 X HTTPS://WWW.ST-MARYS.ORG X 1 23 1 HTTPS://WWW.ST-MARYS.ORG 0 1 X 100.000000000000 200.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.ST-MARYS.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-POLICY X HTTPS://WWW.ST-MARYS.ORG/ASSETS/SMMC/DOCUMENTS/FAP/FINANCIAL-ASSISTANCE-AP X HTTPS://WWW.ST-MARYS.ORG/ASSETS/SMMC/DOCUMENTS/FAP/APPENDIX-B-PLAIN-LANGUA X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: THIS FACILITY INCLUDES A SCHOOL OF NURSING, SCHOOL OF RESPIRATORY THERAPY, A SCHOOL OF MEDICAL IMAGING AND A CLINICAL PASTORAL EDUCATION PROGRAM. INTERNS AND RESIDENTS FROM MARSHALL UNIVERSITY SCHOOL OF MEDICINE ARE ALSO ASSIGNED AT THE HOSPITAL FOR THEIR CLINICAL ROTATIONS AS ARE STUDENTS IN COMMUNITY BASED PRACTICAL NURSING PROGRAMS. ST. MARY'S MEDICAL CENTER PART V, SECTION B, LINE 5: IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, ST. MARY'S MEDICAL CENTER (SMMC) SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SMMC CARES FOR PATIENTS THROUGHOUT WEST VIRGINIA, EASTERN KENTUCKY, AND SOUTHERN OHIO. THE HOSPITAL CONSULTED KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS:A.D. LEWIS COMMUNITY CENTERAMERICAN HEART ASSOCIATIONAUTISM SERVICE CENTERBIG BROTHERS BIG SISTERS OF THE TRI-STATEBUCKSKIN COUNCILCABELL COUNTY PUBLIC LIBRARYCABELL HOME HEALTHCABELL HUNTINGTON HOSPITALCABELL HUNTINGTON HOSPITAL HOME CARE MEDICINECABELL-HUNTINGTON COALITION FOR THE HOMELESSCARVERCENTER FOR HEALTHY AGINGCENTRAL UNITED METHODIST CHURCHCHRIST EPISCOPAL CHURCHCITY OF HUNTINGTONCITY OF HUNTINGTON FIRE DEPARTMENTCOX LANDING & SUNRISE UNITED METHODIST CHURCHESEDUCATION ALLIANCEEDWARDS COMPREHENSIVE CANCER CENTERFACING HUNGER FOODBANKFAITHHEALTH APPALACHIAGRACE CHRISTIAN FELLOWSHIPHOSPICE OF HUNTINGTONHUNTINGTON 1ST CHURCH OF THE NAZARENEHUNTINGTON CITY COUNCILHUNTINGTON CITY MISSIONHUNTINGTON INTERNAL MEDICINE GROUPINTERVENTIONAL RADIOLOGYIRONTON IN BLOOMKANAWHA-CHARLESTON HEALTH DEPARTMENTKINDRED COMMUNICATIONSLAWRENCE COUNTY CHAMBER OF COMMERCELAWRENCE ECONOMIC DEVELOPMENT CORPORATIONMARSHALL HEALTH AND MARSHALL UNIVERSITY SCHOOL OF MEDICINEMARSHALL HEALTHMARSHALL HEALTH DIVISION OF ADDICTION SCIENCE IN FAMILY AND COMMUNITY MEDICINE-PROACT/PROJECT HOPEMARSHALL UNIVERSITYMARSHALL UNIVERSITY BEHAVIORAL HEALTH CLINICMARSHALL UNIVERSITY OB/GYNMARSHALL UNIVERSITY PEDIATRICSMARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE FAMILY MEDICINEMARSHALL UNIVERSITY SCHOOL OF PHARMACYMARTIN COUNTY HEALTH DEPARTMENTMILDRED MITCHELL BATEMAN HOSPITALMOUNTAIN HEALTH NETWORKMIDLAND BEHAVIORAL HEALTHPATHWAYS, INC.PROACTQUALITY INSIGHTSRADIOLOGY, INC.ROME PRESBYTERIAN CHURCHSOUTHERN WV HEALTH SYSTEMSST. MARY'S MEDICAL CENTERTEAM FOR WEST VIRGINIA CHILDRENTENTH AVENUE CHURCH OF GODTHE CAUSE, INC.THE CENTER - YOUTH OPPORTUNITY HUBTHE HIGHLAWN COMMUNITY ALLIANCETRANSFORMATION COMMUNITY CHURCHTRI-STATE STEM+M EARLY COLLEGE HIGH SCHOOLUNITED WAY OF THE RIVER CITIESVERTICAL HEALTHCAREWV DEPARTMENT OF HEALTH AND HUMAN RESOURCES/BUREAU OF BEHAVIORAL HEALTHWOMEN INFANTS AND CHILDRENWV FREEYMCA OF HUNTINGTON THESE ORGANIZATIONS WERE REPRESENTED BY PROFESSORS, PHYSICIANS, MID-LEVEL HEALTH CARE PROVIDERS, NURSES, CEOS, CFOS, DIRECTORS OF FACILITIES, PASTORS, AND OTHER CITIZENS OF THE SERVICE AREA. ST. MARY'S MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED ALONG WITH CABELL HUNTINGTON HOSPITAL, INC. BOTH HOSPITALS ARE LOCATED IN HUNTINGTON, WEST VIRGINIA. ST. MARY'S MEDICAL CENTER PART V, SECTION B, LINE 11: COMMUNITY-BUILDING ACTIVITIESA THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HAS BEEN DEVELOPED TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS OUR SERVICE AREA. THE CHIP BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES, WHILE RECOGNIZING NEW HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING A CHANGING HEALTH CARE ENVIRONMENT AND THE IMPACT OF THE COVID-19 PANDEMIC. CHIP SEEKS TO ADDRESS NOT ONLY PRIORITY AREAS IDENTIFIED IN THE PAST ASSESSMENTS BUT ALSO TO INCLUDE DISPARITIES IN SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO CARE. THIS IS CONSISTENT WITH A HEALTH EQUITY APPROACH TO LOOK BEYOND THE HEALTH CARE SYSTEM TO BUILD HEALTHIER COMMUNITIES FOR ALL PEOPLE. PRIORITY AREAS FOR CHIP INCLUDE BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AGING POPULATION, AND FOOD INSECURITY. BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER:THE GOAL IS TO SUPPORT SUBSTANCE USE DISORDER (SUD) EFFORTS AND IMPROVED OUTCOMES IN OUR COMMUNITY FOR PEOPLE WITH A BEHAVIORAL HEALTH AND/OR SUBSTANCE USE DISORDER AND THEIR FAMILIES, INCLUDING INFANTS WITH NEONATAL ABSTINENCE SYNDROME (NAS). CONTINUING STRATEGIES: - PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT (PROACT) PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE CHH, ST. MARY'S MEDICAL CENTER, MARSHALL HEALTH, AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL, AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES, AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. - HOOPS FAMILY CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER (CAC) THE HOOPS FAMILY CHILDREN'S HOSPITAL AT CHH OPENED THE CAC TO OFFER CHILDREN AND FAMILIES COMPASSIONATE CARE TO REDUCE THE TRAUMA OFTEN EXPERIENCED BY CHILDREN WHO ARE VICTIMS OF ABUSE. - HOOPS FAMILY CHILDREN'S HOSPITAL MATERNAL OPIOID MEDICAL SUPPORT (MOMS) PROGRAMTHE MOMS PROGRAM PROVIDES ADDICTION TREATMENT SERVICES FOR MOTHERS WHILE THEIR BABIES RECOVER FROM NEONATAL ABSTINENCE SYNDROME (NAS) IN THE NEONATAL THERAPEUTIC UNIT (NTU). SERVICES PROVIDED INCLUDE MEDICATION-ASSISTED THERAPY, WOMEN'S HEALTH, CONTRACEPTION, INDIVIDUAL AND GROUP COUNSELING, CASE MANAGEMENT AND PASTORAL CARE. - NEONATAL THERAPEUTIC UNIT (NTU)THE NTU AT CHH PROVIDES CARE FOR BABIES BORN PRENATALLY EXPOSED TO SUBSTANCES THAT CAN CAUSE SYMPTOMS OF WITHDRAWAL AFTER BIRTH. THE UNIT IS DEDICATED TO CARING FOR THE ENTIRE FAMILY BY PROVIDING TREATMENT, EDUCATION, AND SUPPORT IN A NON-JUDGMENTAL ENVIRONMENT. THE NTU IS THE FIRST OF ITS KIND IN THE STATE OF WV AND ONE OF THE FIRST IN THE US IN WHICH NEWBORNS EXPERIENCE THE BENEFIT OF QUIET, SUPPORTIVE HOSPITAL SETTING INVOLVING THE PARENTS AND EXTENDED FAMILY IN FORMING HEALTHY HABITS. - PROJECT HOPE FOR WOMEN AND CHILDREN THIS PROGRAM IS LED BY HEALTHY CONNECTIONS, THE HFCH MOMS PROGRAM, AND MARSHALL HEALTH'S MATERNAL ADDICTION RECOVERY CENTER TO SUPPORT MOTHERS AND THEIR FAMILIES ON THE ROAD TO ADDICTION RECOVERY. AS A COMPREHENSIVE TREATMENT FACILITY, PROJECT HOPE PROVIDES ONSITE PEER AND RESIDENTIAL SUPPORT, LIFE SKILLS TRAINING, MENTAL HEALTH SERVICES, EDUCATIONAL SUPPORT SERVICES, CAREER DEVELOPMENT, NUTRITION, EXERCISE SUPPORT, PARENTING, RELATIONSHIP COURSES, SPIRITUAL CARE, AND FINANCIAL EDUCATION. IT CAN HOUSE UP TO 18 FAMILIES AT A TIME IN SINGLE FAMILY UNITS AVERAGING A SIX MONTH STAY. - LILY'S PLACELILY'S PLACE CARES FOR DRUG EXPOSED NEWBORNS AND THEIR FAMILIES. MEDICAL CARE IS PROVIDED TO INFANTS SUFFERING FROM NAS. THEY PROVIDE SUPPORT, EDUCATION, AND COUNSELING SERVICES TO FAMILIES AND CAREGIVERS. DURING THEIR SHORT-TERM CARE, THEY CONNECT FAMILIES WITH RECOVERY GROUPS. TWO FOLLOW-UP CLINICS EACH MONTH, WITH A PEDIATRIC NEUROLOGIST AND SOCIAL WORKER, ARE CONDUCTED FOR PARENTS AND INFANTS WHO GRADUATE FROM THE PROGRAM. - PRESTERA CENTER FOR MENTAL HEALTH SERVICESCHH COORDINATES SERVICES WITH PRESTERA CENTER, WHICH IS A REGIONAL PROVIDER OF SUPPORT AND SERVICES FOR PEOPLE WITH BEHAVIORAL HEALTH AND SUBSTANCE ABUSE NEEDS. PRESTERA CENTER SPECIALIZES IN HELPING INDIVIDUALS WHO HAVE A DUAL DIAGNOSIS FOR MENTAL HEALTH AND SUBSTANCE USE NEEDS. - PROJECT ENGAGETHIS IS A PROGRAM FOR PATIENTS WHO SEEK TREATMENT THROUGH CHH EMERGENCY DEPARTMENT OR ARE ADMITTED AS AN INPATIENT OR TO MOTHER/BABY UNIT. PROJECT ENGAGE IS A PROGRAM THAT UNIFIES POLICIES AND PROTOCOLS TO INCREASE THE LIKELIHOOD THAT PATIENTS WITH SUB WILL BE PREPARED FOR AND CHOOSE LONG-TERM TREATMENT UPON DISCHARGE. - PERINATAL BEREAVEMENT SUPPORT GROUPS A SUPPORT GROUP FOR BEHAVIORAL HEALTH CONDITIONS AND/OR SUBSTANCE USE DISORDERS. MONTHLY PERINATAL BEREAVEMENT SUPPORT GROUPS WERE HELD WITH 25 PARTICIPANTS THIS FISCAL YEAR.- FAITHHEALTH APPALACHIA (FHA)BASED ON THE FAITHHEALTH MODEL FIRST DEPLOYED BY THE WAKE FOREST BAPTIST MEDICAL CENTER'S FAITHHEALTH PROGRAM, FAITHHEALTH APPALACHIA'S MISSION IS TO "BE THE BRIDGE," A CONDUIT OF TRANSFORMATION THAT CONNECTS COMMUNITY RESOURCES, HOSPITALS, FAITH COMMUNITIES, HEALTH CARE FACILITIES, AND SOCIAL SERVICE PROGRAMS THAT ARE BASED ON TRUTH, CARE, AND EDUCATION TO IMPROVE THE TOTAL WELLNESS OF INDIVIDUALS AND COMMUNITY. CHH SUPPORTS THE MISSION OF FHA AS A MODEL TO INCREASE ACCESS TO MEDICAL CARE AND OTHER RESOURCES TO LOCAL CONGREGATIONS AND EMPLOYS ITS EXECUTIVE DIRECTOR IN THE CHH PASTORAL CARE/CHAPLAINCY DEPARTMENT. - CABELL-HUNTINGTON HEALTH DEPARTMENT HARM REDUCTION PROGRAM (HRP)CHH, IN CONJUNCTION WITH MARSHALL HEALTH AND ST. MARY'S MEDICAL CENTER, SUPPORTS THE HRP. THE HRP PROVIDES STERILE SYRINGES, COLLECTS NON-STERILE (USED) SYRINGES, OFFERS NALOXONE AND RESCUE BREATHING TRAINING, AND ACTS AS POINTS OF ACCESS TO PREVENTION, TESTING AND TREATMENT FOR BLOOD-BORNE DISEASES AS WELL AS PROVIDING FAMILY PLANNING AND REFERRALS TO MEDICAL TREATMENT, SOCIAL SERVICES, MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES FOR CABELL COUNTY RESIDENTS.- REVERSE THE CYCLE PROJECTTHE HOSPITAL ER, IN CONJUNCTION WITH MOSAIC CONSULTING AND MARSHALL HEALTH ADDICTION MEDICINE DIVISION PROVIDE: A. SCREENING FOR SUBSTANCE ABUSE DISORDER IN ER VISITS WITH PEER RECOVERY SPECIALIST FOLLOW-UP. B. PEER RECOVERY SPECIALIST OUTREACH TO OVERDOSE SURVIVORS.C. PRESCRIBING OR PROVIDING OUTPATIENT NARCAN TO ER PATIENTS PRESENTING WITH OVERDOSE.- HEALTH CONNECTIONSA COALITION OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS DEDICATED TO EVIDENCE BASED AND INTER-AGENCY PROGRAMMING FOR THE TREATMENT OF PREGNANT AND PARENTING FAMILIES WHO ARE STRUGGLING WITH SUD.NEW STRATEGIES:- INCREASE THE AWARENESS AND EDUCATION TO ENCOURAGE TREATMENT AND MANAGEMENT OF BEHAVIORAL HEALTH ISSUES AND SUD BY COLLABORATING WITH COMMUNITY PARTNERS TO SOLICIT FEEDBACK FROM PEOPLE WITH LIVED EXPERIENCE AND THEIR FAMILIES FOR BOTH BEHAVIORAL HEALTH AND SUD SERVICES GAP ANALYSIS. - PROVIDE THE NAVIGATING GRIEF SUPPORT GROUPS, WHICH WAS PREVIOUSLY OFFERED BEFORE COVID. - PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT PROTECT FROM AND OFFSET RISK FACTORS FOR BEHAVIORAL HEALTH ISSUES AND SUD BY: A. EXPLORING PARTNERSHIPS WITH ARTS AND CULTURAL VENUES TO PROVIDE YOUTH ENGAGEMENT AND SOCIAL CONNECTIVITY OPPORTUNITIES.B. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS PROVIDING YOUTH MENTORSHIP, SENIOR PROGRAMMING, RELATIONSHIP-BUILDING, AND SOCIAL EMOTIONAL LEARNING OPPORTUNITIES.C. DEVELOPING ARRANGEMENTS WITH COMMUNITY ORGANIZATIONS TO ENCOURAGE SOCIAL ENGAGEMENT AND SELF-MANAGEMENT SKILLS FOR PEOPLE WITH CHRONIC CONDITIONS, CHRONIC PAIN, OR ADVANCING ILLNESS. - IMPROVE ACCESS TO BEHAVIORAL HEALTH AND SUD SERVICES BY SUPPORTING EFFORTS TO EXPAND TELEHEALTH APPLICATIONS. - INCREASE AWARENESS OF SUD TO REDUCE STIGMA AND FEAR OF SEEKING TREATMENT BY PROVIDING SUD AWARENESS SENSITIVITY TRAINING TO EMPLOYEES. - IMPROVE ACCESS TO SUD TREATMENT AND RECOVERY SERVICES BY: A. EXPLORING MOBILE UNIT OUTREACH FOR SERVICES SUCH AS MOBILE MEDICATION ASSISTED TREATMENT (MAT) AND NARCAN DISTRIBUTIONS.B. EXPLORING COMMUNITY PARTNERSHIPS TO ENHANCE TRANSPORTATION OPTIONS FOR SUD TREATMENT AND RECOVERY SERVICES CLIENTS.CHRONIC DISEASE PREVENTION AND MANAGEMENT:THE GOAL FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT IS TO REDUCE THE BURDEN OF CHRONIC DISEASE THROUGH PREVENTION, DETECTION, AND TREATMENT OF RISK FACTORS, AND IMPROVE QUALITY OF LIFE FOR PEOPLE LIVING WITH CHRONIC DISEASE. EMPHASIS WILL BE GIVEN TO OBESITY/DIABETES, HEART DISEASE, AND TOBACCO USE/LUNG DISEASE. HIGH PRIORITY IS THE EQUITABLE LIFE EXPECTANCY AND QUALITY OF LIFE FOR ALL PEOPLE BY ENSURING RESIDENTS HAVE THE RESOURCES THEY NEED TO MAINTAIN THEIR HEALTH. ST. MARY'S MEDICAL CENTER PART V, SECTION B, LINE 11: CONTINUING STRATEGIES- VARIOUS SUPPORT GROUPS AND EDUCATIONAL SEMINARS THESE ARE OFFERED FREE AND IN-PERSON MONTHLY. THE FOLLOWING SUPPORT GROUPS WERE OFFERED IN THE THIS FISCAL YEAR:A. BREASTFEEDING SUPPORT GROUP WAS OFFERED MONTHLY AND HAD 8 ATTENDEES.B. CHILD BIRTH SUPPORT GROUP WAS OFFERED MONTHLY AND HAD 182 PARTICIPANTS.C. ECCC SISTERS OF HOPE SUPPORT GROUP WAS OFFERED 11 TIMES WITH 107 PARTICIPANTS.D. CENTER FOR SURGICAL WEIGHT CONTROL SUPPORT GROUP WAS AVAILABLE 7 TIMES AND 117 ATTENDEES WERE PRESENT.E. CENTER FOR SURGICAL WEIGHT CONTROL COMMUNITY EDUCATION SEMINAR WAS OFFERED MONTHLY AND 470 PARTICIPANTS ATTENDED. -HOME HEALTH CARE CHH HOME CARE MEDICINE, IN PARTNERSHIP WITH MARSHALL HEALTH, PROVIDES PRE- AND POST-ACUTE CARE FOR HOME-BOUND PATIENTS AGES 18 AND OLDER, THROUGHOUT THE TRI-STATE. A PHYSICIAN REFERRAL IS NOT NECESSARY TO RECEIVE SERVICES. CHH HOME CARE MEDICINE OFFERS: PHYSICAL EXAMINATIONS, DISEASE MANAGEMENT, MEDICATION MANAGEMENT, COORDINATION OF LAB AND X-RAY SERVICES AND COORDINATION OF CARE (HOSPICE, HOME HEALTH, AND HOSPITALIZATION). - HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN IS A COMMUNITY CENTER, WHERE PEOPLE COME TO LEARN, COOK, AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. THE FACILITY BOASTS A FULLY EQUIPPED KITCHEN THAT ACCOMMODATES UP TO 16 COOKING STUDENTS WHILE THE CLASSROOM CAN HOLD 75 STUDENTS. THE MISSION OF HUNTINGTON'S KITCHEN IS SIMPLE: TO HELP PREVENT AND REDUCE DIET-RELATED DISEASE THROUGH EDUCATION ABOUT HEALTHY FOOD AND HEALTHY COOKING. OUR GOAL IS TO SHARE INFORMATION WITH EVERYONE, REGARDLESS OF COOKING EXPERIENCE. CLASSES TYPICALLY FEATURE ACTIVITIES RELATED TO COOKING BASICS, RECIPES AND INGREDIENTS, NUTRITION BASICS, USING LOCAL AND SEASONAL FOOD, AND SHOPPING ON A BUDGET.HUNTINGTON'S KITCHEN IS A COMMUNITY OUTREACH PROGRAM OF CABELL HUNTINGTON HOSPITAL. THE KITCHEN IS THE HOME OF MARSHALL UNIVERSITY'S DEPARTMENT OF DIETETICS AND ALSO PARTNERS WITH THE WEST VIRGINIA EXTENSION OFFICE, THE CABELL COUNTY DRUG REHABILITATION COURT, AND FACING HUNGER FOODBANK TO TEACH COMMUNITY MEMBERS HOW TO PREPARE HEALTHY MEALS USING FRESH PRODUCE AND CANNED GOODS TYPICALLY DISTRIBUTED THROUGH FOOD BANKS. THE KITCHEN ALSO PROVIDES HEALTHY COOKING CLASSES FOR COMMUNITY ORGANIZATIONS AND CHILDREN OVER THE AGE OF 12. DURING THE FIRST HALF OF THIS FISCAL YEAR, HUNTINGTON'S KITCHEN HAD 623 IN-PERSON PARTICIPANTS AND 3,736 IN-PERSON COMMUNITY OUTREACH ENCOUNTERS.- CHERTOW DIABETES CENTER CHH COLLABORATES WITH THE CHERTOW DIABETES CENTER AT MARSHALL UNIVERSITY TO PROVIDE PATIENT EDUCATION, A DIABETES SUPPORT GROUP, DIABETES EXERCISE CENTER, AND OTHER RESOURCES FOR DIABETIC PATIENTS. THE CENTER, WHICH IS ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION, IS STAFFED BY A COMPLETE TEAM OF ENDOCRINOLOGISTS, DIABETES EDUCATORS, AND SPECIALTY PERSONNEL WHO TREAT AND MANAGE DIABETES. - COMMUNITY HEALTH SCREENINGSCHH PARTICIPATED IN DISCOUNTED HEALTH SCREENINGS FOR HEALTH ISSUES, SUCH AS CHOLESTEROL, BLOOD SUGAR, DIABETIC FOOT SCREENINGS, AND OSTEOPOROSIS. EDUCATION ABOUT STROKE, JOINT REPLACEMENT SURGERY, AND RISK FACTORS FOR DIABETES AND OTHER HEALTH ISSUES WAS ALSO PROVIDED. CHH ALSO PROVIDED FREE FLU SHOT CLINICS TO THE COMMUNITY.- YOUTH AND SENIOR OPPORTUNITIESA. CHH HELPS PROVIDE YOUTH OPPORTUNITIES FOR PHYSICAL ACTIVITY AND HEALTH EDUCATION THROUGH SUPPORT OF LOCAL PARKS, PLAYGROUNDS, FUN RUNS, AND COMMUNITY ORGANIZATIONS.B. UNITED WAY OF THE RIVER CITIES ENVISIONS A COMMUNITY WHERE EVERYONE HAS THE TOOLS AND OPPORTUNITY TO THRIVE BY CONNECTING OUR COMMUNITY WITH RESOURCES TO REDUCE POVERTY AND IMPROVE LIVES. C. YMCA OF HUNTINGTON OFFERS SENIOR GROUP FITNESS CLASSES, PERSONAL TRAINERS FOR LIGHT-WEIGHTED WORKOUTS, YOGA, AND ZUMBA.D. DEVELOPMENTAL THERAPY CENTER (DTC) ENHANCES THE QUALITY OF LIFE FOR CHILDREN AND ADULTS WITH DISABILITIES IN OUR COMMUNITY REGARDLESS OF AGE, INCOME, OR GEOGRAPHIC LOCATION. THEY PROVIDE ACCESS TO OCCUPATIONAL, PHYSICAL, SPEECH-LANGUAGE THERAPY, AND SPECIAL INSTRUCTIONS SERVICES TO MAXIMIZE DAILY LIVING SKILLS.- EBENEZER MEDICAL OUTREACH (EMO)CHH SUPPORTS THE EFFORTS OF THE FULL-SERVICE MEDICAL CLINIC, EBENEZER MEDICAL OUTREACH WHICH PROVIDES ACCESS TO FREE, COMPREHENSIVE HEALTH CARE, PREVENTATIVE CARE, AND PHARMACEUTICALS TO FINANCIALLY ELIGIBLE CLIENTS SUCH AS THE FAIRFIELD WEST COMMUNITY OF HUNTINGTON AND THE SURROUNDING AREAS. NEW STRATEGIES- REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES AND PROMOTE HEALTH EQUITY BY:A. ALIGNING WITH STRATEGIC INITIATIVES BY MHN CENTERS OF EXCELLENCE IN CARDIOVASCULAR AND PEDIATRICS. B. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS ADDRESSING KEY SOCIAL DETERMINANTS OF HEALTH BARRIERS, INCLUDING FOOD INSECURITY, HOUSING AND UTILITY INSTABILITY, TRANSPORTATION NEEDS, HEALTH LITERACY, ACCESS TO CARE, DIFFICULTIES IN PAYING FOR CARE AND MEDICATIONS, AND PERSONAL SAFETY.C. SUPPORTING EARLY HEALTH EDUCATION OPPORTUNITIES FOR YOUTH IN PARTNERSHIP WITH AFTERSCHOOL PROGRAMMING AND SCHOOL DISTRICTS. D. PROVIDING LUNG NODULE SCREENINGS FOR EARLIER DETECTION OF LUNG CANCER.- INCREASE ACCESS TO TRADITIONAL AND ALTERNATIVE PLACES PEOPLE CAN ACCESS HEALTH CARE BY: A. EXPANDING NEW PRIMARY CARE SITE LOCATIONS ACROSS THE REGION. B. PARTNERING WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO CO-LOCATE SOCIAL SERVICES.C. EXPANDING ACCESS TO TELEHEALTH VISITS AND PROVIDE ALTERNATIVE MEANS OF CONNECTION FOR THOSE WITHOUT ACCESS TO BROADBAND OR SMARTPHONE SERVICES. D. EXPLORING PARTNERSHIPS WITH CHURCHES, COMMUNITY CENTERS, AND MOBILE DELIVERY OPTIONS TO BRING HEALTH AND SOCIAL SERVICES TO RURAL COMMUNITIES. E. WORKING WITH PRIMARY CARE OFFICES TO ENCOURAGE AND SCHEDULE INDIVIDUALS WHO DELAYED PREVENTIVE CARE DURING THE PANDEMIC. F. SUPPORTING BROADBAND EFFORTS TO PROVIDE ACCESS TO UNSERVED POPULATIONS.AGING POPULATIONTHE GOAL IS TO ACHIEVE EQUITABLE LIFE EXPECTANCY AND QUALITY OF LIFE FOR ALL PEOPLE AGED 65+ YEARS BY ENSURING RESIDENTS HAVE THE RESOURCES THEY NEED TO MAINTAIN THEIR HEALTH. INCLUDING THE IMPROVEMENT TO ACCESS TO HEALTH CARE SERVICES.NEW STRATEGIES- PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT PROTECT FROM AND OFFSET RISK FACTORS FOR SENIORS (65+) FOR BEHAVIORAL HEALTH ISSUES, SUBSTANCE USE DISORDERS, AND CHRONIC HEALTH ISSUES BY: A. EXPLORING PARTNERSHIP WITH SENIOR CENTERS AND OTHER ELDER SERVICE PROVIDERS TO PROVIDE OLDER ADULT ENGAGEMENT, SOCIAL CONNECTIVITY OPPORTUNITIES, BEHAVIORAL HEALTH SERVICES AND SUPPORTS, AND WELLNESS AND SENIOR VITALITY PROGRAMS. B. EXPANDING ACCESS TO TELEHEALTH VISITS AND PROVIDE ALTERNATIVE MEANS OF CONNECTION FOR THOSE WITHOUT ACCESS TO BROADBAND OR SMARTPHONE SERVICES. C. UTILIZE THE ORGANIZATIONS SUCH AS FAITHHEALTH APPALACHIA AND CATHOLIC CHARITIES TO SERVE AS A CONNECTION BETWEEN SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, MEDICAL FACILITIES, AND OTHER KEY LEADERS TO MEET THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF SENIORS SUCH AS FOOD INSECURITY, MALNUTRITION, HOUSING, TRANSPORTATION NEEDS, AND SOCIAL ISOLATION. - REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES BY:A. ALIGNING WITH STRATEGIC INITIATIVES BY THE CENTER FOR HEALTHY AGING.B. EXPLORING AGE-FRIENDLY HEALTH SYSTEMS AND AARP LIVEABLE COMMUNITIES CRITERIA TO ADDRESS THE UNIQUE CARE NEEDS OF OLDER ADULTS.-FOOD INSECURITYTHE GOAL IS TO ENHANCE FOOD SECURITY AND ENCOURAGE AND INCREASE HEALTHY EATING BEHAVIORS ACROSS ALL AGE GROUPS IN THE COMMUNITY.CONTINUING STRATEGIES- EDWARDS COMPREHENSIVE CANCER CENTER (ECCC)ONE OF OUR EMPLOYEES, A REGISTERED DIETITIAN AND NUTRITIONIST, PROVIDES INFORMATION TO COMMUNITY MEMBERS REGARDING NUTRITION AND EDUCATION FOR CANCER PATIENTS AND THEIR FAMILIES. SHE HOSTS A MONTHLY EDUCATIONAL CLASS, OPEN TO THE PUBLIC, CALLED COOKING WITH CANCER (HOSTED AT HUNTINGTON'S KITCHEN). AS A CERTIFIED DIABETES EDUCATOR, SHE ALSO HOLDS NUTRITIONAL CLASSES FOR PATIENTS AND THEIR FAMILIES ON HOW TO PREPARE HEALTHY DIABETIC MEALS.NEW STRATEGIES- INCREASE ACCESS TO HEALTHY FOODS BY:A. UTILIZE THE ORGANIZATIONS SUCH AS FAITHHEALTH APPALACHIA AND CATHOLIC CHARITIES TO SERVE AS A CONNECTION BETWEEN SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, MEDICAL FACILITIES, AND OTHER KEY LEADERS TO MEET THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF PATIENTS SUCH AS FOOD INSECURITY, MALNUTRITION, HOUSING, TRANSPORTATION NEEDS, AND SOCIAL ISOLATION.B. EXPAND AND ENHANCE USE OF MEDICALLY TAILORED FOOD BOXES AND READY-TO-EAT MEALS WITH FACING HUNGER FOODBANK AND RETAIL FOOD STORES. C. SUPPORTING FARMERS MARKETS AND OTHER FOOD ACCESS INITIATIVES THAT PROVIDE FRESH, LOCALLY GROWN PRODUCE FOR LOW TO MODERATE INCOME UNDERSERVED POPULATIONS. ST. MARY'S MEDICAL CENTER PART V, SECTION B, LINE 11: D. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS ADDRESSING KEY SOCIAL DETERMINANTS OF HEALTH BARRIERS, INCLUDING FOOD INSECURITY, HOUSING AND UTILITY INSTABILITY, AND ACCESS TO HEALTHY FOODS.E. EXPLORING PARTNERSHIPS WITH GROCERY STORES AND CORPORATIONS TO INCREASE FOOD SUPPLY, HEALTHIER OPTIONS, AND REDUCE FOOD DESSERTS.F. ENCOURAGING MOBILE FOOD DRIVES.G. ENGAGING IN DEMONSTRATION PROJECTS WITH OTHER PROVIDERS AND PAYERS TO DEVELOP INNOVATIVE WAYS TO ADDRESS FOOD INSECURITY THROUGH INCENTIVES AND SUPPLEMENTAL PROGRAMS.H. STRENGTHENING AND SUPPORTING OPPORTUNITIES FOR HEALTHY LIFESTYLES INCLUDING COMMUNITY GARDENS AND COMMUNITY WALKABILITY.I. EXPLORING COMMUNITY ACTIVITIES THAT FOCUS ON GETTING FAMILIES TOGETHER TO LEARN HOW TO IMPROVE QUALITY OF FOOD AND ACTIVITY. J. SUPPORTING WELLNESS AND NUTRITION EDUCATION EVENTS IN PARTNERSHIP WITH COMMUNITY PARTNERS.K. COLLABORATING WITH NUTRITION AND DIETARY RESOURCES WITHIN THE SYSTEM AND IN THE COMMUNITY TO INTEGRATE NUTRITION EDUCATION INTO CHRONIC DISEASE MANAGEMENT PROGRAMS INCLUDING TELE-NUTRITION PROGRAMS.L. PARTNERING WITH COMMUNITY ORGANIZATIONS TO ADDRESS UNDERLYING DRIVERS OF HEALTH DISPARITIES THROUGH EDUCATION, OUTREACH, AND CHRONIC DISEASE MANAGEMENT PROGRAMS. -VOLUNTEER SERVICE ON COMMUNITY BOARDSCHH LEADERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON A NUMBER OF COMMUNITY BOARDS INCLUDING: DIGNITY HOSPICE, SART (SEXUAL ASSAULT RESPONSE TEAM), STOP (DOMESTIC VIOLENCE RESPONSE), VAB (VICTIM ADVISORY BOARD), MDIT (MULTIDISCIPLINARY INVESTIGATIVE TEAM) CABELL & WAYNE COUNTY, GENERATION HUNTINGTON, HUNTINGTON REGIONAL CHAMBER OF COMMERCE, LAWRENCE COUNTY OHIO CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, FACING HUNGER FOODBANK, GOODWILL FAMILY SERVICES BOARD, KODA DONATE LIFE EVENTS, AND LITTLE VICTORIES ANIMAL RESCUE, TO NAME A FEW. 10 1 - ST MARY'S FAMILY CARE 147 WILLOW TREE WAY HURRICANE WV 25526 OUPATIENT CLINIC 2 - HIMG EAR NOSE AND THROAT 5170 US ROUTE 60 EAST HUNTINGTON WV 25705 OUPATIENT CLINIC 3 - ST MARY'S FAMILY CARE 1408 CAMPBELL DRIVE IRONTON OH 45638 OUPATIENT CLINIC 4 - HIMG-AUDIOLOGY 5170 US ROUTE 60 EAST HUNTINGTON WV 25705 OUPATIENT CLINIC 5 - ULTIMATE PLASTICS AND RECONSTRUCTIVE 5170 US ROUTE 60 EAST HUNTINGTON WV 25705 OUPATIENT CLINIC 6 - ST MARY'S HIMG LLC 1290 MONTGOMERY AVE SUITE 1 ASHLAND KY 41101 OUPATIENT CLINIC 7 - ST MARY'S MEDICAL MANAGEMENT 38 HOSPITAL DRIVE SUITE G-B LOGAN WV 25601 OUPATIENT CLINIC 8 - ST MARY'S MEDICAL MANAGEMENT 414 GREENWAY AVE SUITE 100 SOUTH CHARLESTON WV 25309 OUPATIENT CLINIC 9 - SCOTT ORTHOPEDIC CENTER 2828 FIRST AVE SUITE 400 HUNTINGTON WV 25702 OUPATIENT CLINIC 10 - ST MARY'S MEDICAL MANAGEMENT 2420 JEFFERSON AVE SUITE 100 POINT PLEASANT WV 25550 OUPATIENT CLINIC PART I, LINE 3C: ELIGIBILITY IS DETERMINED BY COMPARING HOUSEHOLD FAMILY INCOME AGAINST THE INCOME POVERTY GUIDELINES FOR FINANCIAL INDIGENCE, A RATIO OF TOTAL MEDICAL EXPENSES TO ANNUAL DISPOSABLE INCOME FOR MEDICAL INDIGENCE. INCOME IS DEFINED AS THE TOTAL ANNUAL CASH RECEIPTS BEFORE TAXES FROM ALL SOURCES.FINANCIALLY INDIGENT: UNCOMPENSATED CARE SHALL INCLUDE UNREIMBURSED SERVICES TO THE FINANCIALLY INDIGENT. FINANCIALLY INDIGENT SHALL MEAN UNINSURED OR UNDERINSURED PATIENTS ACCEPTED FOR CARE WITH NO OBLIGATION OR A DISCOUNTED OBLIGATION TO PAY FOR SERVICES RENDERED BASED ON THE MEDICAL CENTER'S ELIGIBILITY SYSTEM WHICH MAY INCLUDE:(A) INCOME LEVELS AND MEANS TESTING OR OTHER CRITERIA FOR DETERMINING A PATIENT'S INABILITY TO PAY; OR B) OTHER CRITERIA FOR DETERMINING A PATIENT'S INABILITY TO PAY THAT ARE CONSISTENT WITH THE MEDICAL CENTER'S MISSION AND ESTABLISHED POLICY. THE FEDERAL POVERTY LEVEL SHALL SERVE AS AN INDEX FOR THE THRESHOLD BELOW WHICH PATIENTS RECEIVING CARE AT ST. NARY'S MEDICAL CENTER ARE DEEMED FINANCIALLY INDIGENT. FINANCIALLY INDIGENT SERVICES INCLUDE NONCOVERED SERVICES FOR PATIENTS ELIGIBLE FOR THE MEDICAID PROGRAM, SERVICES PROVIDED UNDER COUNTY INDIGENT CARE CONTRACTS, AND OTHER STATE OR FEDERAL ASSISTANCE PROGRAMS FOR LOW INCOME GROUPS. MEDICALLY INDIGENT: UNCOMPENSATED CARE SHALL INCLUDE UNREIMBURSED SERVICES TO THE MEDICALLY INDIGENT. MEDICALLY INDIGENT SHALL MEAN PATIENTS WHO ARE RESPONSIBLE FOR THEIR LIVING EXPENSES, BUT WHOSE MEDICAL AND HOSPITAL BILLS, AFTER PAYMENT BY THIRD PARTY PAYERS, WHERE APPLICABLE, EXCEED: (A) A SPECIFIED PERCENTAGE OF THE PATIENT'S ANNUAL GROSS INCOME (I.E.,CATASTROPHIC MEDICAL EXPENSES) IN ACCORDANCE WITH THE MEDICAL CENTER'S FORMAL ELIGIBILITY SYSTEM IN SUCH INSTANCES WHERE PAYMENT WOULD REQUIRE LIQUIDATION OF ASSETS CRITICAL TO LIVING OR EARNING A LIVING; OR (B) THE CRITERIA FOR DETER14INING A PATIENT'S INABILITY TO PAY. WHILE FINANCIAL INDIGENCE IS BASED STRICTLY ON AN INCOME LEVEL, MEDICAL INDIGENCE CONSIDERS BOTH INCOME AND THE FINANCIAL OBLIGATION FOR HEALTHCARE SERVICES TO CALCULATE THE PATIENT'S ABILITY TO PAY WITHOUT LIQUIDATING ASSETS CRITICAL TO LIVING OR EARNING A LIVING, SUCH AS A HOME, CAR, PERSONAL BELONGINGS, ETC. THEREFORE, PATIENTS ARE CONSIDERED FOR MEDICALLY INDIGENT STATUS ON A CASE BY CASE BASIS. THE PATIENT WOULD BE REQUIRED TO PROVIDE DOCUMENTATION OF INCOME TO DETERMINE IF HE/SHE IS TO BE CONSIDERED MEDICALLY INDIGENT. ALL PATIENTS ARE ELIGIBLE TO BE CONSIDERED FOR MEDICALLY INDIGENT STATUS WITH THE EXCEPTION OF PATIENTS WITH INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL AS THESE PATIENTS ARE CONSIDERED FOR SOME LEVEL OF UNCOMPENSATED CARE UNDER THE FINANCIALLY INDIGENT CATEGORY. PART I, LINE 7: THE COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO DETERMINE COMMUNITY BENEFIT EXPENSES FOR FINANCIAL ASSISTANCE AT COST AND MEDICAID.THE AMOUNT OF CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY GROUPS WAS OBTAINED FROM THE HOSPITAL'S ACCOUNTING RECORDS.PART I, LINE 7, COLUMN (F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART III, LINE 2: BAD DEBT EXPENSE WAS ESTIMATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PART III, LINE 3: BASED ON HISTORICAL INFORMATION, APPROXIMATELY 20% OF BAD DEBT EXPENSE AT COST IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. PART II AND PART VI, LINE 5 COMMUNITY BUILDING ACTIVITIES:ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES THROUGHOUT FY 2024 THAT PROMOTED WELLNESS AND HELPED ENRICH THE LIVES OF PEOPLE IN THE TRI-STATE. THESE INCLUDED:COMMUNITY FLU SHOT CLINICSSMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED FREE DRIVE-THRU FLU SHOT CLINICS SATURDAY, OCT. 12, 2024, IN HUNTINGTON AND IN HURRICANE. A TOTAL OF 254 TOTAL VACCINES WERE GIVEN AT BOTH LOCATIONS.FREE WOMEN'S HEALTH SCREENINGSST. MARY'S BREAST CENTER OFFERED TWO FREE WOMEN'S HEALTH SCREENINGS TO THE COMMUNITY: A FREE BREAST SCREENING AND CERVICAL CANCER SCREENING ON 4.20.24, 42 PARTICIPATED. SKIN SCREENING ON 5.17.24, 38 PARTICIPATED AND A BREAST CANCER SCREENING ON 10.25.23, 10 PARTICIPATED. COMMUNITY WELLNESS BLOOD PROFILESSMMC, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND HIMG, PROVIDED LOW-COST WELLNESS BLOOD PROFILES TO THE COMMUNITY DURING THE MONTHS OF OCTOBER, NOVEMBER, FEBRUARY, APRIL, JUNE, AUGUST 2023-2024. BLOOD PROFILES INCLUDED 29 DIFFERENT TESTS, SUCH AS GLUCOSE, CHOLESTEROL AND CALCIUM, WITH OPTIONAL TESTING AVAILABLE AT AN ADDITIONAL COST FOR HEMOGLOBIN A1C, THYROID-STIMULATING HORMONE (TSH), VITAMIN D AND PROSTATE-SPECIFIC ANTIGEN (PSA). THE PROFILES WERE AVAILABLE BY APPOINTMENT AT THE SMMC CONFERENCE CENTER, HIMG AND THE SMMC IRONTON CAMPUS. SMMC'S FACILITIES PROVIDED 2,554 PROFILES. SUPPORT GROUPSSMMC OFFERS FREE SUPPORT GROUPS AND NUTRITION COUNSELING TO THE COMMUNITY:" BREAST CANCER, 11 SUPPORT GROUPS HELD, 127 PARTICIPANTS." NUTRITION COUNSELING, 14 EVENTS, 1,400 PARTICIPANTSSMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. EIGHTEEN SUPPORT GROUPS WERE HELD, 417 PARTICIPANTS. AMERICAN RED CROSS BLOOD DRIVESTO ASSIST WITH THE BLOOD SHORTAGE, SMMC HOSTED TWO COMMUNITY BLOOD DRIVES WITH 175 PARTICIPANTS BETWEEN THE MEDICAL CENTER AND THE CENTER FOR EDUCATION. AMERICAN HEART ASSOCIATION EVENTSHUNTINGTON HEART WALK: SMMC REGIONAL HEART INSTITUTE PARTNERED WITH THE AMERICAN HEART ASSOCIATION, THE LARGEST VOLUNTARY HEALTH ORGANIZATION WORKING TO PREVENT, TREAT AND DEFEAT HEART DISEASE, STROKE AND OTHER CARDIOVASCULAR DISEASES, FOR THE 2024 HUNTINGTON HEART WALK, APRIL 20, 2024. THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION AND HAD APPROXIMATELY 200 PARTICIPANTS. SMMC STAFF MEMBERS PROVIDED FREE BLOOD PRESSURE SCREENINGS TO WALKERS.GO RED MINI HEALTH FAIR: AS PART OF NATIONAL WEAR RED DAY, THIS FREE EVENT OFFERED FREE BLOOD PRESSURE, BLOOD SUGAR AND CHOLESTEROL SCREENINGS, AS WELL AS INFORMATION ON SLEEP DISORDERS, SMOKING CESSATION, STROKE RISK AND NUTRITION TO 175 ATTENDEES. HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN IS A COMMUNITY FOOD CENTER WHERE PEOPLE COME TO LEARN, COOK AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. SMMC PARTNERED WITH HUNTINGTON'S KITCHEN THROUGHOUT THE YEAR TO PROVIDE SPEAKERS FOR TWO FREE MONTHLY COMMUNITY EVENTS: DINING WITH A DOC, WHICH OFFERS AN EVENING OF HEALTH INFORMATION AND COOKING WITH A PHYSICIAN, AND SENIOR FOCUS FRIDAY, A PROGRAM FOR PEOPLE 50 AND OLDER. TOPICS INCLUDED: MENTAL HEALTH, DIABETES MANAGEMENT, THE IMPORTANCE OF A PRIMARY CARE PROVIDER AND HEART CARE. A TOTAL OF 12 GROUPS WERE HELD WITH 112 PARTICIPANTS. FACING HUNGER FOODBANKSMMC PARTNERED WITH FACING HUNGER FOODBANK TO DISTRIBUTE MEDICALLY INDICATED FOOD BOXES TO OVER 1,300 CLINIC PATIENTS THROUGHOUT THE YEAR. PROACT (PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT)PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE SMMC, CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. SMMC PROVIDES A FULL-TIME CHAPLAIN. 2,459 PATIENTS SUPPORTED BY A SMMC FULL-TIME CHAPLAIN. 6,914 CLIENTS ASSISTED BY PROACT.COMPASS PROGRAMTHE COMPASS PROGRAM PROVIDES TRAINING, CLASSES AND A WELLNESS CENTER TO HELP FIRST RESPONDERS IN HUNTINGTON IMPROVE THEIR MENTAL HEALTH. SMMC PROVIDES SPIRITUAL CARE AND EMPLOYMENT ASSISTANCE PROGRAM (EAP) SERVICES AS PART OF THE PROGRAM. JOSLIN DIABETES CENTERTHE JOSLIN DIABETES CENTER EDUCATION AFFILIATE AT SMMC OFFERS NUTRITION EDUCATION AND COUNSELING, IN PARTNERSHIP WITH THE RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MASSACHUSETTS. JOSLIN WORKED WITH 769 PEOPLE IN 2024.SMOKING CESSATION COUNSELINGSMMC PULMONARY REHABILITATION OFFERS ONE-ON-ONE SMOKING CESSATION COUNSELING BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. 1,344 PEOPLE RECEIVED COUNSELING IN 2024.CANCER SURVIVOR RECEPTIONSFREE EVENTS HELD AT ST. MARY'S CENTER FOR EDUCATION FOR CANCER SURVIVORS AND THEIR FAMILY MEMBERS WITH 55 PARTICIPANTS. COMMUNITY GIVINGWE SUPPORT PROJECTS THAT PROMOTE HEALTHY LIVING, NUTRITION, PHYSICAL ACTIVITY, WELLNESS, AND THE PREVENTION AND MANAGEMENT OF DISEASE. FUNDED INITIATIVES MUST ALIGN WITH PRIORITIES IDENTIFIED IN THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).VOLUNTEER SERVICE ON COMMUNITY BOARDSSMMC MANAGERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON MANY NON-PROFIT BOARDS INCLUDING HUNTINGTON REGIONAL CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, BIG BROTHERS/BIG SISTERS, FACING HUNGER FOODBANK, GOODWILL, HOSPICE OF HUNTINGTON AND THE KEITH-ALBEE PERFORMING ARTS CENTER TO NAME A FEW. PART III, LINE 4: THE TEXT OF THE FOOTNOTE READS AS FOLLOWS: "THE SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS A COMPONENT OF NET PATIENT SERVICE REVENUES OR PATIENT ACCOUNTS RECEIVABLE (NOTE 4)." THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2024 OR 2023. PART III, LINE 8: MEDICARE COSTS WERE OBTAINED FROM THE HOSPITAL'S MEDICARE COST REPORT. PART V, SECTION A: THIS FACILITY INCLUDES A SCHOOL OF NURSING, SCHOOL OF RESPIRATORY THERAPY, A SCHOOL OF MEDICAL IMAGING AND A CLINICAL PASTORAL EDUCATION PROGRAM. INTERNS AND RESIDENTS FROM MARSHALL UNIVERSITY SCHOOL OF MEDICINE ARE ALSO ASSIGNED AT THE HOSPITAL FOR THEIR CLINICAL ROTATIONS AS ARE STUDENTS IN COMMUNITY BASED PRACTICAL NURSING PROGRAMS. PART VI, LINE 2: SMMC TAKES STEPS TO DETERMINE WHAT THE MOST PRESSING NEEDS ARE IN ORDER TO PROVIDE SERVICES TO ADDRESS THEM. THE HOSPITAL REGULARLY ASSESSES THE NEEDS OF THE COMMUNITY. PERIODIC NEEDS ASSESSMENTS ARE CONDUCTED IN PARTNERSHIP WITH OUR LOCAL HEALTH DEPARTMENT. ADDITIONALLY, WE MONITOR COUNTY, STATE, AND NATIONAL HEALTH INDICATORS AND WORK IN PARTNERSHIP WITH SERVICE AGENCIES IN THE COMMUNITIES WE SERVE TO MEET IDENTIFIED NEEDS. PART VI, LINE 3: SMMC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE, INCLUDING:* FINANCIAL ASSISTANCE POSTERS ARE DISPLAYED IN ALL EMERGENCY, ADMITTING, OUTPATIENT, AND CLINIC AREAS THAT INCLUDE A PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE COUNSELING.* HOSPITAL DEPARTMENTS THAT HAVE INITIAL CONTACT WITH INCOMING INPATIENTS AND OUTPATIENTS ARE SUPPLIED WITH BROCHURES ABOUT FINANCIAL ASSISTANCE FOR DISTRIBUTION TO PATIENTS AND FAMILY MEMBERS.* THE HOSPITAL EMPLOYS TRAINED FINANCIAL ASSISTANCE COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE SUCH AS APPLICATION FOR FEDERAL AND/OR STATE PROGRAMS; QUALIFICATION FOR CHARITY CARE; DETERMINATION OF AUTOMATIC DISCOUNTS AND/OR FURTHER REDUCTIONS IN CHARGES; AND SETTING UP LONG-TERM FINANCIAL ARRANGEMENTS. THE HOSPITAL PUBLISHES FINANCIAL ASSISTANCE INFORMATION, INCLUDING THE FAP POLICY, ON THE INTERNET HOME PAGE. PART VI, LINE 4: ST. MARY'S MEDICAL CENTER SERVES THE GREATER HUNTINGTON, WEST VIRGINIA COMMUNITY WITH A PRIMARY SERVICE AREA THAT INCLUDES CABELL, WAYNE, MASON, PUTNAM AND LINCOLN COUNTIES IN WEST VIRGINIA AND LAWRENCE COUNTY IN OHIO. ST. MARY'S ALSO SERVES A MUCH WIDER SERVICE AREA BECAUSE OF SPECIALTY MEDICAL SERVICES INCLUDING ADVANCED EMERGENCY TRAUMA CARE, ADVANCED STROKE CARE, ADVANCED SPINE CARE, ADVANCED HEART CARE, ADVANCED CANCER CARE, AND ADVANCED ORTHOPEDIC CARE. THAT SECONDARY SERVICE AREA INCLUDES LOGAN AND MINGO COUNTIES IN WEST VIRGINIA, AS WELL AS BOYD, GREENUP, CARTER, LAWRENCE, JOHNSON, FLOYD AND PIKE COUNTIES IN KENTUCKY AND SCIOTO AND GALLIA COUNTIES IN OHIO.COMPETITORS WITHIN OUR PRIMARY SERVICE AREA ARE CAMC TEAYS VALLEY (PUTNAM COUNTY) AND KING'S DAUGHTERS HEALTH SYSTEM (ASHLAND, KY). THE MOST RECENT STATISTICS FROM THE U.S. CENSUS BUREAU SHOW THAT THE HIGH SCHOOL GRADUATION RATE (AGE 25+) FOR HUNTINGTON IS 89.2%. THE PERCENTAGE OF HUNTINGTON RESIDENTS LIVING BELOW THAT FEDERAL POVERTY LEVEL IS 27.4%. CABELL COUNTY BIRTH RATES FOR 15 TO 19 YEAR-OLDS IS 13.9 PER 1000 FEMALES. PART VI, LINE 5: ST. MARY'S OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AS WELL AS SISTERS FROM THE PALLOTTINE MISSIONARY SISTERS. ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL.ST. MARY'S ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS: PHYSICIANS, NURSES, MEDICAL IMAGING TECH, RESPIRATORY TECHS, AND CHAPLAINS; AND PARTICIPATES IN MEDICARE, MEDICAID, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS.ST. MARY'S ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT."COMMUNITY BENEFIT WORK IS DRIVEN BY COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTH CARE ORGANIZATIONS AND THE BROADER COMMUNITY. COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION, AND STAFF AND BOARD EDUCATION IS CONDUCTED. DEDICATED STAFF IS COMMITTED TO COMMUNITY BENEFIT EFFORTS.THE ST. MARY'S FOUNDATION IS A NON-PROFIT ORGANIZATION THAT PROVIDES GRANT WRITING AND FUNDRAISING FOR BOTH MEDICAL CENTER PROGRAMS AND FOR COMMUNITY BENEFIT PROGRAMS THAT REACH BOTH THE POOR AND THE BROADER COMMUNITY. OPERATIONS OF THE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY.WHEN ST. MARY'S HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE THAT WE WILL BE HERE TO CARE FOR FUTURE GENERATIONS. PART VI, LINE 6: THE HOSPITAL IS CONTROLLED BY THE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK INC. MARSHALL HEALTH NETWORK, INC IS ALSO THE SOLE CORPORATE MEMBER OF THE FOLLOWING: CABELL HUNTINGTON HOSPITAL, INC., PLEASANT VALLEY HOSPITAL, INC. DBA RIVERS HEALTH, AND UNIVERSITY PHYSICIANS & SURGEONS, INC DBA MARSHALL HEALTH. THE MARSHALL HEALTH NETWORK AFFILIATED HEALTH CARE SYSTEM IS COMPRISED OF MULTIPLE RELATED HOSPITALS, PHYSICIAN PRACTICES, AMBULATORY FACILITIES, AND CLINICS THAT OPERATE AS SEPARATE LEGAL ENTITIES BUT ARE COORDINATED UNDER A UNIFIED MISSION. MARSHALL HEALTH NETWORK OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE ORGANIZATIONS IT CONTROLS. THESE PURPOSES INCLUDE PROMOTING THE HEALTH OF THE COMMUNITIES SERVED THROUGH COMMUNITY BUILDING ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT ALONG WITH SUPPORTING OTHER ORGANIZATIONS IN THEIR MISSIONS AS WELL. THE MISSION OF MARSHALL HEALTH NETWORK AND ALL ITS AFFILIATED ENTITIES, INCLUDING ST. MARY'S MEDICAL CENTER, INC., IS TO "ADVANCE HEALTH, INSPIRE HOPE, AND SERVE YOU". THE ORGANIZATION IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF OVER ONE MILLION CHILDREN AND ADULTS IN 38 COUNTIES ACROSS WEST VIRGINIA, SOUTHERN OHIO, AND EASTERN KENTUCKY THROUGH HIGH QUALITY COMPASSIONATE CARE, EDUCATION, AND RESEARCH. 1 ST MARY'S MEDICAL CENTER FOUNDATION 2900 FIRST AVENUE HUNTINGTON WV 25702 141887211 501(C)(3) 9500 0 SPONSOR EBENEZER MEDICAL OUTREACH 1448 TENTH AVE SUITE 100 HUNTINGTON WV 25701 550745033 501(C)(3) 25000 0 WELLNESS BIG GREEN SCHOLARSHIP FOUNDATION PO BOX 1360 HUNTINGTON WV 25715 550631935 501(C)(3) 7750 0 SPONSOR PROACT 800 20TH STREET HUNTINGTON WV 25701 832100850 501(C)(3) 0 73398 OTHER PERSONNEL-PASTORAL MENTAL HEALTH MARSHALL HEALTH NETWORK INC 1340 HAL GREER BLVD HUNTINGTON WV 25701 320573122 501(C)(3) 98500 0 SUPPORT SERVICES WV MEDICAL PROF HEALTH PROG 4013 BUCKHANNON PIKE MOUNT CLARE WV 26408 743226821 501(C)(3) 25000 0 PHYSICIAN WELLNESS HUNTINGTON AREA DEVELOPMENT COUNCIL 916 FIFTH AVE SUITE 400 HUNTINGTON WV 25701 550714570 501(C)(3) 12500 0 ECONOMIC GROWTH & DEVELOPMENT PART I, LINE 2: TO ENSURE PROPER USE OF FUNDS, THE REQUESTING ORGANIZATION IS REQUIRED TO DOCUMENT THE USE OF THE GRANT MONIES. WHEN A REQUEST FOR FUNDS IS RECEIVED AND HAS BEEN APPROVED, THE FUNDS ARE EITHER AUTHORIZED FOR USE OR DISBURSED TO THE REQUESTING ORGANIZATION. X X 1 1 0 0 0 0 0 0 0 0 0 NEPAL CHOWDHURY MD PHYSICIAN 2396885 0 0 0 0 0 10350 0 41321 0 2448556 0 0 0 DWIGHT SAULLE MD PHYSICIAN 2113905 0 0 0 0 0 10350 0 40699 0 2164954 0 0 0 MATTHEW WERTHAMMER MD PHYSICIAN 1687526 0 0 0 0 0 10350 0 40757 0 1738633 0 0 0 LUIS BOLANO MD PHYSICIAN 1688540 0 0 0 0 0 10350 0 27511 0 1726401 0 0 0 DAMIAN SILBERMINS MD PHYSICIAN 1425601 0 0 0 0 0 10350 0 39184 0 1475135 0 0 0 KEVIN YINGLING PRESIDENT & CEO 0 846387 0 0 0 18858 0 139800 0 28699 0 1033744 0 0 DAVID M WARD SENIOR VP & CFO 0 570143 0 343513 0 14523 0 20623 0 14350 0 963152 0 0 ANGELA D SWEARINGEN VICE PRESIDENT/COO 562259 0 0 0 405 0 36623 0 40440 0 639727 0 0 0 LARRY D DIAL CHIEF CLINICAL OFFICER CT 0 493805 0 50409 0 0 0 19800 0 0 0 564014 0 0 HOYT J BURDICK VP CMO 0 500568 0 0 0 7638 0 15738 0 27695 0 551639 0 0 LISA C STUMP SYSTEM VP & CSO 0 381398 0 105467 0 2022 0 10500 0 28699 0 528086 0 0 PAUL E SMITH CHIEF ADMIN OFFICER 0 425556 0 0 0 7638 0 16495 0 28699 0 478388 0 0 MARK MORGAN VICE PRESIDENT 0 350503 0 6697 0 1242 0 10500 0 44627 0 413569 0 0 SUSAN BETH ROBINSON VICE PRESIDENT 0 353178 0 0 0 3564 0 10500 0 44627 0 411869 0 0 REGINA CAMPBELL VICE PRESIDENT 0 334595 0 0 0 6858 0 20375 0 47801 0 409629 0 0 MELISSA E LEASURE SYSTEM VP & GEN COUNSEL 0 350444 0 0 0 1278 0 10500 0 44627 0 406849 0 0 EDUARDO PINO CMIO 0 305541 0 0 0 6858 0 9260 0 28699 0 350358 0 0 LARRY HUTCHISON VICE PRESIDENT 294089 0 0 0 0 0 8823 0 37691 0 340603 0 0 0 AARON BLEVINS VICE PRESIDENT 0 248815 0 9865 0 809 0 15689 0 44627 0 319805 0 0 FAREED AZIZ VP OF REVENUE CYCLE MGMT 0 259937 0 0 0 540 0 8118 0 44627 0 313222 0 0 BRADLEY BURCK VP CORP FND & DNR PHIL 0 221535 0 39624 0 1918 0 7946 0 38462 0 309485 0 0 ROBERT KACZMARCZYK VICE PRESIDENT 261390 0 0 0 0 0 7842 0 37619 0 306851 0 0 0 ANDY MULLINS VICE PRESIDENT 257546 0 0 0 0 0 7726 0 36615 0 301887 0 0 0 DAVID SHEILS VICE PRESIDENT 235670 0 0 0 0 0 7070 0 24843 0 267583 0 0 0 JOHN K FIFE VP SUPPLY CHAIN OPERATIONS 0 180586 0 0 0 872 0 5499 0 38462 0 225419 0 0 VERA ROSE MD VICE PRESIDENT/RETIRED 198398 0 0 0 0 0 5952 0 7310 0 211660 0 0 0 THOMAS A HEFNER VP FINANCE 0 173973 0 0 0 1223 0 5331 0 27695 0 208222 0 0 PART I, LINE 1A WE PAY GUYAN DUES FOR MARK MORGAN. ANGIE SWEARINGEN, COO, IS ALLOWED A COUPLE OF TRIPS PER YEAR WITH SPOUSE. PART I, LINE 3 THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR. JEFFREY BURDICK FAMILY MEMBER 41349 REPORTABLE COMPENSATION 0 PAUL SMITH OFFICER OFFICER FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 DAVID M WARD OFFICER DIRECTOR FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 FAREED AZIZ KEY EMPLOYEE 1051402 MHN AND RELATED ORGANIZATIONS USE FAREED AZIZ'S BUSINESS, STEWARD CONSULTING, FOR CONSULTING 0 X MEDICAL EQUIPMENT 1 158575 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 MARSHALL HEALTH NETWORK,INC (MHN)HAS BECOME THE SOLE CORPORATE MEMBER OF ST. MARY'S MEDICAL CENTER, INC ("CORPORATION"). IT IS ALSO THE SOLE CORPORATE MEMBER OF CABELL HUNTINGTON HOSPITAL, INC, PLEASANT VALLEY HOSPITAL INC DBA RIVERS HEALTH, AND UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH. MARSHALL HEALTH NETWORK INC IS ORGANIZED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND ANY CORRESPONDING PROVISION OF ANY FUTURE INTERNAL REVENUE LAWS, AS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509(A)(3) OF THE CODE, THE PURPOSE OF WHICH IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE SUPPORTED ORGANIZATION THAT IT IS NOW THE SOLE CORPORATE MEMBER OF ABOVE. FORM 990, PART VI, SECTION A, LINE 4 GOVERNING DOCUMENTS WERE AMENDED TO INCLUDE ONE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK. THE NUMBER OF VOTING BOARD MEMBERS WAS CHANGED TO NINE AND ONE NON-VOTING BOARD MEMBER WAS ADDED. THE STIPULATIONS FOR WHO SHOULD BE A BOARD MEMBER, THE BOARD MEMBER TERMS TO BE SERVICED, AND BOARD MEMBER DUTIES WERE CHANGED AS WELL. THE ARTICLES OF INCORPORATION AND BYLAWS WERE CHANGED SO THAT ONLY THE CORPORATE MEMBER CAN AMEND THE ARTICLES OF INCORPORATION AND BYLAWS. THE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK WAS GIVEN OTHER RESERVED POWERS AND FINAL APPROVAL OF BOARD OF DIRECTORS INITIATED ACTIONS. FORM 990, PART VI, SECTION A, LINE 6 MARSHALL HEALTH NETWORK IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MARSHALL HEALTH NETWORK IS THE SOLE CORPORATE MEMBER THAT HAS RESERVED POWER TO APPOINT THE BOARD OF DIRECTORS FOLLOWING THE STIPULATIONS IN THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION A, LINE 7B MARSHALL HEALTH NETWORK, AS SOLE CORPORATE MEMBER, HAS RESERVED POWERS TO CHANGE THE PURPOSES OF THE CORPORATION, AMEND THE ARTICLES OF INCORPORATION AND/OR BYLAWS, DISSOLVE THE CORPORATION, CONSOLIDATE/AFFILIATE THIS CORPORATION WITH OTHER ORGANIZATIONS. IN ADDITION, MHN WILL MANAGE ACTIONS INITIATED BY THE CORPORATION'S BOARD OF DIRECTIONS FOR THE FOLLOWING ITEMS: ADOPTION OF STRATEGIC AND BUSINESS PLANS, ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS, APPROVAL OF ANY CHANGES TO THE CAPITAL DEBT, THE CREATION OR ACQUISITION OF ADDITIONAL AFFILIATED ORGANIZATIONS AND JOINT VENTURES, ADOPTION OR CHANGES TO MASTER CLINICAL COMPENSATION AND BENEFIT PLANS, MANAGE THE ASSETS, MANAGE CLINICAL FACULTY CHANGES, FINAL APPROVAL OVER THE VARIOUS PRACTICES OF MEDICINE, APPOINTMENT OF A PRESIDENT TO SERVE AS CEO, APPROVE UNBUDGETED EXPENDITURES INCLUDING DEBT, AND APPROVAL OF CERTAIN CONTRACTS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT IN CONSULTATION WITH AN INDEPENDENT ACCOUNTING FIRM. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. THE CFO WILL REVIEW THE 990 WITH THE FINANCE/AUDIT COMMITTEE AND THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANIZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE AN APPEARANCE, POTENTIAL OR ACTUAL, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICTS OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION. IN THE EVENT THAT ANY BOARD MEMBER IS DEEMED TO LACK INDEPENDENCE OR A CONFLICT OF INTEREST EXISTS, HE/SHE IS REQUIRED TO LEAVE THE ROOM AND CANNOT BE PART OF THE DISCUSSION OR VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR. FORM 990, PART VI, SECTION C, LINE 18 THE 990 IS PUBLISHED ON GUIDESTAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 2900 FIRST AVENUE, HUNTINGTON, WV 25702. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED FORM 990, PART IX, LINE 11G HEALTHCARE FEES: PROGRAM SERVICE EXPENSES 26,089,415. MANAGEMENT AND GENERAL EXPENSES 5,572,497. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,661,912. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 32,062,867. MANAGEMENT AND GENERAL EXPENSES 6,848,379. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,911,246. OTHER FEES: PROGRAM SERVICE EXPENSES 2,291,332. MANAGEMENT AND GENERAL EXPENSES 489,410. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,780,742. FORM 990, PART XI, LINE 9: CHANGES IN PENSION FUND STATUS -1,944,131. 457B PLAN ADJUSTMENT -347,546. TRANSFERS TO/FROM AFFILIATES, NET -395,055. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE INTERMITTENTLY PUTS OUT BIDS FOR THE ANNUAL AUDIT AND CHOOSES WHAT FIRM TO ENGAGE. DURING THE YEAR AUDITORS MEET THIS COMMITTEE PRIOR TO AUDIT AND AGAIN TO PRESENT AUDIT. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, LINE 16B THE ORGANIZATION HAS ADOPTED A FORMAL WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS. HOWEVER, THE NORMAL DUE DILIGENCE PROCESS FOR ANALYZING ANY SUCH ARRANGEMENTS UNDERTAKEN IN CONJUNCTION WITH THE ORGANIZATION'S EXTERNAL LEGAL COUNSEL, ACCOUNTANTS AND OTHER BUSINESS ADVISORS DOES INCLUDE A REVIEW TO DETERMINE THE FOLLOWING: 1) THE IMPACT OF THE ARRANGEMENT UNDER APPLICABLE FEDERAL AND STATE LAW 2) WHETHER THE ARRANGEMENT WILL JEOPARDIZE THE ORGANIZATION'S EXEMPT STATUS AS A SECTION 501(C)(3) CHARITABLE ORGANIZATION-HOSPITAL. 3) WHETHER THE ARRANGEMENT WILL RESULT IN ANY UNRELATED BUSINESS TAXABLE INCOME 4) THE IMPACT OF THE ARRANGEMENT ON ANY EXISTING CONTRACTUAL AGREEMENTS OR OTHER BUSINESS RELATIONSHIPS AND 5) WHETHER THE ARRANGEMENT WILL RESULT IN ANY CONFLICTS OF INTEREST. IF THERE ARE ANY CONCERNS WITH RESPECT TO ANY OF THE ABOVE MATTERS, THE ORGANIZATION WILL TAKE APPROPRIATE STEPS TO ENSURE THAT, IF THE JOINT VENTURE IS PURSUED, THE ARRANGEMENT WILL BE IN COMPLIANCE WITH APPLICABLE FEDERAL AND STATE LAW AND TO SAFEGUARD THE ORGANIZATION'S TAX-EXEMPT STATUS. A FORMAL WRITTEN POLICY AND PROCEDURE HAS BEEN APPROVED. ST MARY'S MEDICAL MANAGEMENT LLC 2900 FIRST AVENUE HUNTINGTON WV 25702 208017790 MED PRACTICE WV -10234496 57319520 SMMC ST MARY'S HOSPITALIST SERVICES 2900 FIRST AVENUE HUNTINGTON WV 25702 270662169 MED PRACTICE WV -7000400 639455 SMMC ST MARY'S HIMG LLC 2900 FIRST AVENUE HUNTINGTON WV 25702 852017234 MED PRACTICE WV -3572381 29416163 SMMC ST MARY'S MEDICAL CENTER FOUNDATION 2900 FIRST AVENUE HUNTINGTON WV 25702 141887211 FOUNDATION WV 501(C)(3) LINE 12B, II SMMC 1 CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 550675666 HEALTH SERVICES WV 501(C)(3) LINE 3 MHN 0 PLEASANT VALLEY HOSPITAL INC DBA RIVERS HEALTH 2420 VALLEY DRIVE POINT PLEASANT WV 25550 550440086 HEALTH SERVICES WV 501(C)(3) LINE 3 MHN 0 MARSHALL HEALTH NETWORK INC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 320573122 SUPPORT SERVICES WV 501(C)(3) LINE 12C N/A 0 UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH 1001 TENTH AVENUE HUNTINGTON WV 25701 550564945 HEALTH SERVICES WV 501(C)(3) LINE 7, 509(A)(1) MHN 0 CABELL HUNTINGTON HOSPITAL FOUNDATION INC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 311096222 FUNDRAISING WV 501(C)(3) LINE 12B, II CHH INC 0 AUXILIARY TO STMARY'S MEDICAL CENTER 2900 FIRST AVENUE HUNTINGTON WV 25701 556021771 FUNDRAISING WV 501(C)(3) LINE 12A, I SMMC 1 CLAIRE FRANCES 200 MALL RD ASHLAND KY 41101 311517507 MEDICAL SERVICES KY N/A RELATED -715550 355852 0 0 0.33000 IRONTON MED CAMPUS 1408 CAMPBELL DR IRONTON OH 45638 471141289 REAL ESTATE OH N/A RELATED 680602 10874518 0 0 0.65000 THREE GABLES SURG 5897 ST RTE 7 PROCTORVILLE OH 45669 870648900 OUTPATIENT CA OH N/A RELATED -20676 4020650 0 1 0.53270 TRI-STATE MPS LLC 2900 FIRST AVE HUNTINGTON WV 25702 824513003 BILLING/COLL WV N/A RELATED -121225 11492 0 0 0.60000 HIMG FMC LLC 5170 US ROUTE 60 EAST HUNTINGTON WV 25705 273919638 INVEST DIALYS WV SMMC RELATED 350090 821202 0 1 0.80000 MHC ACCOUNTABLE CARE LLC 5183 US ROUTE 60 EAST HUNTINGTON WV 25705 821639032 MHC ACCOUNTABLE CARE LLC WV SMMC RELATED 591470 1008487 0 1 0.50000 HUNTINGTON AREA MRI CLOSED 2900 FIRST AVE HUNTINGTON WV 25702 261877332 MEDICAL SERVICES WV N/A RELATED 0 1 0.49000 IRONTON MEDICAL CAMP CLOSED 1408 CAMPBELL DR IRONTON OH 45638 471637912 REAL ESTATE OH N/A RELATED 0 0 0.65000 VANGUARD FINANCIAL SERVICES 2900 FIRST AVENUE HUNTINGTON WV 25702 450496141 COLLECTION AG WV SMMC C 15890 196589 1.00000 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 ST MARY'S MEDICAL CENTER FOUNDATION INC C 158575 FMV THREE GABLES SURGERY CENTER O 299111 INTERNAL ACCTG THREE GABLES SURGERY CENTER Q 62814 INTERNAL ACCTG THREE GABLES SURGERY CENTER S 281664 INTERNAL ACCTG TRI-STATE MPS LLC M 910700 INTERNAL ACCTG VANGUARD FINANCIAL SERVICES M 986217 INTERNAL ACCTG HIMG FMC LLC F 148000 INTERNAL ACCTG CABELL HUNTINGTON HOSPITAL INC P 0 INTERNAL ACCTG CABELL HUNTINGTON HOSPITAL INC Q 0 INTERNAL ACCTG ST MARY'S MEDICAL CENTER FOUNDATION INC C 2181562 INTERNAL ACCTG MARSHALL HEALTH NETWORK INC B 98500 CASH MARSHALL HEALTH NETWORK INC P 8847124 CASH MARSHALL HEALTH NETWORK INC M 13291451 CASH MARSHALL HEALTH NETWORK INC E 20564370 CASH UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH Q CASH CABELL HUNTINGTON HOSPITAL INC E 27538456 CASH ST MARY'S MEDICAL CENTER FOUNDATION INC C 534032 FMV ST MARY'S MEDICAL CENTER FOUNDATION INC D 344388 CASH UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH P 11309119 CASH UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH Q 38446 CASH